How Greater Travel Distance Due to Clinic Closures Reduced Access to Abortion in Texas

Population Research Cente

Barriers to Offering Vasectomy at Publicly Funded Family Planning Organizations in Texas

Few publicly funded family planning clinics in the United States offer vasectomy, but little is known about the reasons this method is not more widely available at these sources of care. Between February 2012 and February 2015, three waves of in-depth interviews were conducted with program administrators at 54 family planning organizations in Texas. Participants described their organization’s vasectomy service model and factors that influenced how frequently vasectomy was provided. Interview transcripts were coded and analyzed using a theme-based approach. Service models and barriers to providing vasectomy were compared by organization type (e.g., women’s health center, public health clinic) and receipt of Title X funding. Two thirds of organizations did not offer vasectomy on-site or pay for referrals with family planning funding; nine organizations frequently provided vasectomy. Organizations did not widely offer vasectomy because they could not find providers that would accept the low reimbursement for the procedure or because they lacked funding for men’s reproductive health care. Respondents often did not perceive men’s reproductive health care as a service priority and commented that men, especially Latinos, had limited interest in vasectomy. Although organizations of all types reported barriers, women’s health centers and Title X-funded organizations more frequently offered vasectomy by conducting tailored outreach to men and vasectomy providers. A combination of factors operating at the health systems and provider level influence the availability of vasectomy at publicly funded family planning organizations in Texas. Multilevel approaches that address key barriers to vasectomy provision would help organizations offer comprehensive contraceptive services.Population Research Cente

Hypertension among Oral Contraceptive Users in El Paso, Texas

On the U.S.-Mexico border, residents frequently cross into Mexico to obtain medications or medical care. We previously reported relatively high prevalence of hypertension among Latina oral contraceptive users in El Paso, particularly those obtaining pills over the counter (OTC) in Mexico. Here, we examine factors associated with having hypertension among 411 OTC users and 399 clinic users. We also assess hypertension awareness and interest in using blood pressure kiosks. Women age 35 to 44 and who had BMI ≥ 30 kg/m2 had higher odds of having hypertension. 59% of hypertensive women had unrecognized hypertension, and 77% of all participants would use a blood pressure kiosk; there were no significant differences between clinic and OTC users. Alternative approaches to increase access to health screenings are needed in this setting, where OTC pill use among women with unrecognized hypertension confers unique health risksPopulation Research Cente

The Impact of Information about Abortion Safety on Texas Voters’ Opinions about Restrictive Laws

A substantial gap exists between the scientific evidence demonstrating the safety of abortion in the United States and public opinion about abortion safety. But recent studies suggest that it may be possible to change perceptions about health issues that are based on misinformation. This brief, by researchers from the Texas Policy Evaluation Project, demonstrates that informational statements about the safety of office-based abortion care as currently practiced in Texas significantly reduced perceptions that ambulatory surgical center and admitting privileges requirements would make abortion safer and reduced support for these requirements.Population Research Cente

On Value Maximization and Alternative Objectives of the Firm

The recent literature on firm behavior has been characterized by two contrasting strands of analysis: on the one hand, there is the literature attempting to extend the conventional maxims of profit maximization of competitive firms from the familiar static models to dynamic contexts and into situations of uncertainty. These analyses argue that firms should maximize their stock market value and explore the implications of this for firm behavior. On the other hand, there is the vast and growing "managerial" literature, in which other objectives, such as "satisficing," "sales maximizing," and "maximization of the manager's utility functions" are postulated. The second group of analyses criticize the first as being unrealistic, while the first argues that it provides the best "first approximation" to firm behavior: if firms did not maximize their stock market value, or deviated far from value maximization, someone would attempt to take them over, change the course of action of the firm, and make a pure capital gain. This paper presents a unified framework for analyzing firm behavior which can be used to reconcile these divergent views

Stockholder Unanimity in Making Production and Financial Decisions

We show that "spanning" does not imply stockholder unanimity if there is trading in the shares of firms. Each basis vector of the space spanned by all firms' output vectors can be treated like a composite commodity. If, in addition to spanning, firms act as price takers with respect to prices of composite commodities, then there is unanimity. We analyze the spanning assumption for the vector space of contingent claims generated by firms' choices of debt-equity ratios. We show that there is a strong relationship between the Modigliani-Miller theorem, spanning, and the existence of a complete set of markets

Many Low Income Women In Texas Do Not Get the Effective Contraception They Want After Giving Birth

Population Research Cente

Making a Difference: An Impact Study of Big Brothers/Big Sisters (Re-issue of 1995 Study)

This is a reissue of P/PV's 1995 impact study of Big Brothers Big Sisters, Making a Difference, which proved that BBBS' high-quality mentoring has tangible and significant effects on the lives of youth. Researchers examined the lives of 1,000 10- to 16-year-olds who applied to Big Brothers Big Sisters for mentors. More than 60 percent of them were boys; more than half were members of minority groups, mostly African American. Over 80 percent came from impoverished families, approximately 40 percent were from homes with a history of drug or alcohol abuse, and almost all were being raised by a single parent. Half of these young people were matched with a mentor, while the rest stayed on the waiting list. Eighteen months later, the differences between the two groups were surprising: weekly meetings with a mentor for (on average) a year had reduced first-time drug use by almost half and first-time alcohol use by a third, had cut school absenteeism by half, improved parental and peer relationships, and gave the youth confidence in doing their school work